Individual
TODD RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 WILKENS AVE STE 302, BALTIMORE, MD 21229-4845
(443) 693-7246
(443) 388-8075
Mailing address
2 PARK CENTER CT STE 200, OWINGS MILLS, MD 21117-4221
(443) 693-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0086636
MD
207R00000X
Internal Medicine Physician
MT206248
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
D0086636
MD
Other
Enumeration date
05/07/2014
Last updated
11/02/2020
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